Citation

Navascués del Río JA, Sotelo Martín J, Cerdá Berrocal J, Barrientos Fernández G, Sánchez Martín R, Romero Rodríguez R, Molina Hernando E, de Tomás Palacios E, de Agustín Asensio JC, Luque Mialdea R, Aguilar Tremoya F, Vázquez Estévez J. Cir. Pediatr. 1998; 11(4): 151-160.

Vernacular Title

Registro de trauma pediatrico: analisis de 1.200 casos.

Affiliation

Servicio de Cirugía Pediátrica, Hospital Infantil Gregorio Marañón, Madrid.

Copyright

(Copyright © 1998, Pat Ediciones)

DOI

unavailable

PMID

9927766

Abstract

OBJECTIVES: We developed the first Spanish Pediatric Trauma Registry in order to collect and evaluate information concerning aspects of injuries in our pediatric population. METHODS: From January'95 to September'97, 28,713 children younger than 16 years were treated in our Hospital for acute injury: 1,200 were admitted and included in our database. Our file-registry consists of 108 data points including: patient identification, type, place and mechanism of injury, pre-hospital care, transport, assessment on admission, severity scores, diagnostic studies, injuries, treatments and morbidity-mortality. RESULTS: Accidents were more frequent in males (69%) than in females. The age-group predominantly was 12-15 years old (34%). Accidents were more frequent in the street (35.3%) than at home (18.7%) or school (14%). Falls and traffic-related accidents were the leading cause of injury (38 and 21.1%, respectively). The 16.7% of cases had Pediatric Trauma Score < or = 8 (n = 201). The 3.6% of this sustained multiple trauma (43 cases with Injury Severity Score > or = 15). Musculoskeletal and head trauma was the most frequent (62 and 42.3%, respectively). Surgical or orthopedic procedures were performed in 678 patients (56.5%). Average length of stay were 4.8 days (range 1-93 days), and functional impairments at discharge were found in 33.9% of patients older than 3 years (n = 338). Mortality rate in our series was 0.5% (n = 6), and 13.9% in children with ISS > or = 15. CONCLUSIONS: The utility of this Registry is to know the epidemiology of our injured pediatric population, to review patient care, to develop prevention programs and to compare results with other centers so potential deficiencies can be identified and corrected.

Language: es